GEORGE A DEVITA (NPI# 1437526340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437526340 |
| Entity Type | Individual |
| Full Name | GEORGE A DEVITA |
| Practice Address |
23d Medical Group 3278 Mitchell Blvd Moody Afb GA 31699-1793 |
| Mailing Address |
27082 Waddingham Rd Evans Mills NY 13637-3277 |
| Practice Telephone | 3157835876 |
| Mailing Telephone | 3157835876 |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104803964 | George Joseph Devita | Physician Assistant | 11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials, Fort Drum, NY 13602-5438 | 2005-12-22 |
| Street Address |
23D MEDICAL GROUP 3278 MITCHELL BLVD |
| City | MOODY AFB |
| State | GA |
| Zip Code | 31699-1793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992792840 | Mark William Henderson | Dentist | 23d Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2005-10-05 |
| 1295150266 | Bryan Presler | Psychologist | 23d Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2014-02-26 |
| 1750657680 | Tracey Anne White | Registered Nurse | 23d Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2012-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771876 | Aldo Enrique Revilla | Psychologist | Bermiss Rd, Moody Afb, Valdosta, GA 31699 | 2017-10-13 |
| 1699903146 | Elizabeth L Fauber | Military Health Care Provider | 9551 Luke Street, Apo, AP 31699 | 2009-06-23 |
| 1063646230 | James Michael White | Military Health Care Provider | 3278 Mithell Blvd, Bldg. 900, Moody Afb, GA 31699 | 2009-05-04 |
| 1265415590 | Rosalie Andrea Castillo | Family Medicine | 347th Medical Group, 3278 Mitchell Blvd, Valdosta, GA 31699 | 2005-11-21 |
| 1083147367 | Jordan Robbins | Dentist | 23rd Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699 | 2017-04-04 |
| 1912350877 | Sandra H Stuart | Dietitian, Registered | 3278 Mitchell Blvd, 23d Medical Group, Valdosta, GA 31699 | 2016-07-15 |
| 1407293418 | Clayton Lively | Psychiatry & Neurology | 3278 Mitchell Blvd, Moody Afb, GA 31699 | 2013-05-30 |
| 1174899371 | Vincent Casey Allen Jr. | Psychologist | 3278 Mitchell Blvd, Moody Afb, GA 31699 | 2012-04-01 |
| 1518364678 | Rachel Collins | Specialist/Technologist | 23 Mdos Sgoy, 3278 Mitchell Blvd, Moody Afb, GA 31699-0001 | 2014-12-04 |
| 1083988356 | Brock Allen Mcnabb | Social Worker | 23rd Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699-0001 | 2012-03-02 |
| Find all providers in zip 31699 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049781 | Andrew Glidewell | Physician Assistant | 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2018-07-10 |
| 1194898635 | Lashaun Lee Vetzel | Physician Assistant | 3278 Mitchell Blvd, Moody Afb, GA 31699-5645 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.